Background to this inspection
Updated
22 June 2023
The inspection
We carried out this inspection under Section 60 of the Health and Social Care Act 2008 (the Act) as part of our regulatory functions. We checked whether the provider was meeting the legal requirements and regulations associated with the Act. We looked at the overall quality of the service and provided a rating for the service under the Health and Social Care Act 2008.
Inspection team
This inspection was carried out by 1 inspector.
Service and service type
This service is a domiciliary care agency. It provides personal care to people living in their own houses and flats.
Registered Manager
This provider is required to have a registered manager to oversee the delivery of regulated activities at this location. A registered manager is a person who has registered with the Care Quality Commission to manage the service. Registered managers and providers are legally responsible for how the service is run, for the quality and safety of the care provided and compliance with regulations. At the time of our inspection there was a registered manager in post.
Notice of inspection
We gave the service 48 hours’ notice of the inspection. This was because it is a small service and we needed to be sure that the provider or registered manager would be in the office to support the inspection. Inspection activity started on 5 April 2023 and ended 18 April 2023. We visited the location’s office on 18 April 2023.
What we did before inspection
We reviewed information we had received about the service. We sought feedback from the local authority and professionals who work with the service.
The provider was not asked to complete a Provider Information Return (PIR) prior to this inspection. A PIR is information providers send us to give some key information about the service, what the service does well and improvements they plan to make.
During the inspection
During the inspection we spoke with 4 people who used the service and 4 relatives. We also spoke with 2 care staff, the registered manager, and the nominated individual. The nominated individual is responsible for supervising the management of the service on behalf of the provider.
We looked at the care records for 5 people. We checked the care people received matched the information in their records. We looked at records relating to the management of the service, including audits carried out within the service.
Updated
22 June 2023
About the service
Ariise Limited - Stoke on Trent provides personal care within people’s own houses and flats. At the time of our inspection 18 people were receiving personal care. CQC only inspects where people receive personal care. This is help with tasks related to personal hygiene and eating. Where they do, we also consider any wider social care provided.
People’s experience of using this service and what we found
Risk assessments were generic and did not always provide written information about how to control the identified risk. There was no emphasis focused on equality and diversity during the assessment of people’s needs and care planning. Monitoring systems was not entirely effective in identifying the shortfalls found during this inspection.
People received kind, compassionate care and staff were aware of their responsibility of safeguarding them from the risk of potential abuse.
People were cared for by sufficient numbers of staff who had been recruited safely. People’s prescribed medicines were managed safely by skilled staff. Infection prevention and control practices helped to reduce the spread of avoidable infections. When things went wrong prompt action was taken to address them and lessons were learnt.
People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible and in their best interests; the policies and systems in the service supported this practice.
People were involved in their care planning to ensure they received a service the way they liked. Staff were skilled and supported in their role to meet people’s needs. People could be confident their rights to privacy and dignity would be respected by staff. People could be assured their complaints would be listened to, taken seriously, and acted on.
Where needed information could be made accessible in a format to suit the individual’s communication needs. The registered provider liaised with health and social care professionals to ensure people received a seamless service.
People and staff were actively involved in the management of the service and the registered manager worked closely with other agencies in providing a service for people.
For more details, please see the full report which is on the CQC website at www.cqc.org.uk
Rating at last inspection
This service was registered with us on 23 March 2022, and this is the first inspection.
Why we inspected
We received concerns about risk management. As a result, we undertook a comprehensive inspection to review all 5 key questions safe, effective, caring, responsive and well-led.
The overall rating for the service is requires improvement based on the findings of this inspection. We have found evidence that the provider needs to make improvements. Please see safe, caring and well led sections of this report.
Enforcement
We have identified a breach in relation to the provider's governance. We found monitoring systems were ineffective to identify the absence of relevant written information relating to control measures where risks had been identified. Care records made no reference to equality and diversity. Monitoring systems did not identify their registration certificate provided the incorrect name and address of the registered location.
Please see the action we have told the provider to take at the end of this report.
Follow up
We will request an action plan from the provider to understand what they will do to improve the standards of quality and safety. We will work alongside the provider and local authority to monitor progress. We will continue to monitor information we receive about the service, which will help inform when we next inspect.